Surgeries and Procedures

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At the Istishari Hospital, our healthcare surgical team performs surgeries and procedures in a professional, caring, and comfortable setting, while insuring supportive and delicate follow ups. It is our goal to assure you that we are with you every step of the way to your full recovery.

BREAST BIOPSY

A breast biopsy is a procedure in which part or all of a suspicious breast growth is removed and examined, usually for the presence of cancer. The growth sample is suctioned out through a needle or removed using a surgical procedure. The sample is then examined and evaluated under a microscope by a pathologist to identify non-cancerous (benign) or cancerous (malignant) tissue. It is important that you notify your doctor before you undergo magnetic resonance imaging (MRI), in case you have a cardiac pacemaker or other electronic device implanted in your body or if you're pregnant or think you may be pregnant.

PARTIAL MASTECTOMY (LUMPECTOMY)

Partial mastectomy is a breast-conserving operation in which the surgeon removes the tumor along with some normal breast tissue surrounding it. This type of procedure may be done under local or general anesthesia.

WOMEN WHO HAVE THIS TYPE OF BREAST CANCER SURGERY

Have a single breast cancer tumor less than five centimeters in diameter, with enough surrounding tissue allowing for the removal of the tumor so that it would not leave a misshapen breast, and allowing the patient to be medically able to undergo surgery and follow-up radiation therapy.

MASTECTOMY

A mastectomy is the surgical removal of one or both breasts, either partially or completely, as a means to treat or prevent breast cancer. For those with early-stage breast cancer, a mastectomy may be one treatment option. Deciding between mastectomy and lumpectomy can be difficult; however, both procedures are equally effective.

Newer mastectomy techniques can preserve breast skin and allow for a more natural breast appearance following the procedure. Surgery to restore shape to your breast — called breast reconstruction — may be done at the same time as your mastectomy or during a second operation at a later date.

WIRE LOCALIZATION FOR MICRO CALCIFICATIONS

This type of biopsy is performed when an abnormality is detected on a mammogram that cannot be felt. This is an outpatient procedure, and is performed in two separate procedures on the same day. The first step is to locate the abnormal tissue by wire insertion through a small needle. A second biopsy will then be taken and a confirmation of excision will be assured using a repeat mammogram.

SENTINEL LYMPH NODE BIOPSY

A sentinel lymph node biopsy is a procedure in which the sentinel lymph node is identified, removed, and examined to determine whether cancer cells are present.

A surgeon injects a radioactive substance, a blue dye, or both, near the tumor to locate the position of the sentinel lymph node. After the lymph nodes are located, the surgeon makes a small incision in the overlying skin and removes the node. Finally the biopsy will be sent to the pathologist to detect for malignancies.

BREAST RECONSTRUCTIVE SURGERY

Our reconstructive surgeons are using innovative techniques that give patients the best and most natural results.

Breast surgeons and breast reconstructive surgeons work together to help patient's decide which option is best for them: A woman's breast can be reconstructed in one of two ways:

  • Implants – Implants are made out of silicone or saline or a combination of both, and can be inserted during or after a mastectomy. They are placed underneath the chest muscle versus on top of it, as in the case of breast augmentation.
  • Flaps –During flap reconstruction, a breast is created using tissue taken from other parts of the body, such as the abdomen, back, buttocks, or thighs, which is then transplanted to the chest by reconnecting the blood vessels to new ones in the chest region.

AUTOLOGUS TISSUE FLAPS: TRAM, DIEP, LATISSIMUS DORSI FLAPS

This type of plastic surgery uses your own tissue to replace tissue that was lost to an injury or surgery. You are both the donor and the recipient of relocated tissue during autologous reconstruction.

  • The DIEP flap (deep inferior epigastric perforator) is a tissue flap procedure that uses fat and skin from your abdomen to create a new breast mound after a mastectomy. Your surgeon will move the skin and fat from the stomach area to the chest. No abdominal muscle will be cut or moved during this process.
  • The TRAM flap (transverse rectus abdominus myocutaneous) is a tissue flap procedure that uses muscle, fat, and skin from the abdomen to create a new breast mound after a mastectomy. This procedure takes its name from the transverse rectus abdominus muscle in the abdomen. During a TRAM flap reconstruction procedure, skin, fat, and muscle is removed from the abdominal area and transferred to the chest to create a breast mound. Most women have enough tissue in the belly area to create a new breast.
  • The latissimus dorsi is a tissue flap procedure that uses muscle and skin from the upper back to create a new breast mound after a mastectomy. An ellipse of skin and the latissimus dorsi muscle will be channeled from the upper back to the chest area to create and reconstruct the breast.

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